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Prevalence and associated factors of influenza vaccination coverage in Korean adults with cardiovascular disease

机译:韩国成人患者心血管疾病患病患者的患病率和相关因素

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Infection with influenza virus increases morbidity and mortality in patients with risk factors, including cardiovascular disease (CVD). This study aimed to evaluate factors associated with influenza vaccination coverage in Korean CVD patients. We included 19,599 adults from the 2010 to 2012 Korea National Health and Nutrition Examination Survey. Influenza vaccination rates were compared in subjects with and without CVD. Logistic regression analysis was performed to identify factors associated with influenza vaccination in Korean adults with CVD before and after stratification for age (65 and ≥65 years). Significantly higher vaccination rates were observed in individuals with CVD than in those without CVD (61.4% vs 31.0%, P .001). However, young individuals (19–49 years) had decreased influenza vaccination rates, with no difference based on CVD status (20.3% vs 21.6%, P = .859). A lack of private insurance (odds ratio [OR], 0.47; 95% confidence interval [CI], 0.23–0.98) and recent health screening (OR, 4.56; 95% CI, 1.90–10.92) were independent factors for influenza vaccination in CVD patients aged 65 years, whereas female sex (OR, 3.71; 95% CI, 1.24–11.07) and less education (OR, 4.59; 95% CI, 1.27–16.61) were independent factors in CVD patients aged ≥65 years. Improving influenza vaccination coverage for Korean adults with CVD is important, especially in young patients. For young patients with CVD, influenza vaccination status is independently associated with the presence of private insurance and recent health screening. This finding could help establish public health policies to promote influenza vaccination in this population.
机译:具有流感病毒的感染增加了风险因素患者的发病率和死亡率,包括心血管疾病(CVD)。本研究旨在评估韩国CVD患者患者流感疫苗接种覆盖的因素。从2010年到2012年韩国国家健康和营养考试调查中,我们包括19,599名成年人。在具有和不含CVD的受试者中比较流感疫苗接种率。进行逻辑回归分析,以鉴定韩国成人患有流感疫苗接种与年龄(<65和≥65岁)的CVD相关的流感疫苗接种的因素。在CVD的个体中观察到比没有CVD的疫苗接种率显着更高(61.4%Vs 31.0%,P <.001)。然而,年轻人(19-49岁)降低了流感疫苗接种率,基于CVD状态没有差异(20.3%vs 21.6%,p = .859)。缺乏私人保险(赔率比[或],0.47; 95%置信区间[CI],0.23-0.98)和最近的健康筛查(或4.56%CI,1.90-10.92)是流感疫苗接种的独立因素CVD患者<65岁,而女性(或3.71; 95%CI,1.24-11.07)和较少的教育(或4.59%CI,1.27-16.61)是≥65岁的CVD患者的独立因素。改善韩国成年人的流感疫苗接种覆盖率是重要的,特别是在年轻患者中。对于CVD的年轻患者,流感疫苗接种状况与私人保险和最近的健康筛查的存在无关。这一发现有助于建立公共卫生政策,以促进该人群的流感疫苗。

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